Failure to Provide Activities of Interest to Resident
Penalty
Summary
The facility failed to provide activities of interest to a resident, as required by their care plan and activity assessment. The resident, who had diagnoses including senile degeneration of the brain, unspecified psychosis, anxiety, and spinal stenosis, was noted to be alert and oriented with some confusion at the time of assessment, and later assessed as cognitively impaired with a BIMS of 00 and rarely understood. The resident's documented preferences included religious activities, baking/cooking, country music, television, movies, and dogs, with a care plan indicating a need for one-on-one activities. Despite these documented interests and needs, records showed the resident was only offered three one-on-one visits in one month and two in the following month, with no visits in the ten days prior to the survey. Observations revealed the resident was repeatedly found in her room without lights, television, or music, and had not been out of bed or participated in any activities on the observed dates. Staff interviews confirmed that the resident had not received the minimum expected frequency of one-on-one visits and that her preferences could have been accommodated, such as by providing television or music. The facility's policy required activity evaluations to reflect residents' interests and needs, but this was not followed for the resident in question.